====== Intracranial hypotension treatment ====== If the site of the spinal CSF leak can be identified, then options include: Epidural blood patch, performed by an anesthesiologist pain management specialist. Surgical repair of the defect. Over-draining CSF shunts are managed by replacing the valve with one that drains less. Lumboperitoneal shunts may have to be removed or ligated. ---- [[Postural headache]] due to [[intracranial hypotension]] (true [[overshunting]]) is usually self limited, however, if symptoms persist after = 3 days of [[bed rest]] and analgesics and a trial with a tight abdominal binder, the [[valve]] should be checked for proper closing pressure.If it is low, replace with a higher pressure valve. If it is not low, an [[antisiphon device]] alone or together with a higher pressure valve may be needed ((Hyde-Rowan MD, Rekate HL, Nulsen FE. Reexpansion of previously collapsed ventricles: the slit ventricle syndrome. J Neurosurg. 1982 Apr;56(4):536-9. PubMed PMID: 7062125. )).